Form 4588 - Insurance Company Annual Return For Michigan Business And Retaliatory Taxes - 2013

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Michigan Department of Treasury
4588 (Rev. 03-13), Page 1
2013 Insurance Company Annual Return for
Check if this is an
Michigan Business and Retaliatory Taxes
amended return.
Attach supporting documents.
Issued under authority of Public Act 36 of 2007.
1. Company Name
2. Federal Employer Identification Number (FEIN) or TR Number
Address (Number, Street)
Check if
Check if Foreign Insurer
new address.
3.
(See instructions)
City
State
ZIP/Postal Code
Country Code 4. State of Incorporation (use 2 letter abbreviation)
GROSS DIRECT PREMIUMS WRITTEN IN MICHIGAN
00
5. Gross direct premiums written in Michigan.............................................................................................................
5.
00
6. Premiums on policies not taken.......................................................................
6.
00
7. Returned premiums on canceled policies........................................................
7.
00
8. Receipts on sales of annuities .........................................................................
8.
00
9. Receipts on reinsurance assumed ..................................................................
9.
00
10. Add lines 6 through 9..............................................................................................................................................
10.
00
11. Direct Premiums Written in Michigan. Subtract line 10 from line 5. If less than zero, enter zero .....................
11.
DISABILITY INSURANCE EXEMPTION
12. Disability insurance premiums written in Michigan, not including credit or disability income insurance,
00
OR $190,000,000, whichever is less ....................................................................................................................
12.
13. Gross direct premiums from all lines of insurance carrier services
00
received everywhere ....................................................................................
13.
280,000,000
00
14. Phase out ......................................................................................................
14.
00
15. Subtract line 14 from line 13. If less than zero, enter zero ...........................
15.
00
16. Exemption reduction. Multiply line 15 by 2 .............................................................................................................
16.
00
17. Subtract line 16 from line 12. If less than zero, enter zero .....................................................................................
17.
00
18. Adjusted Tax Base. Subtract line 17 from line 11 ...................................................................................................
18.
00
19. Michigan Business Tax Before Credits. Multiply line 18 by 1.25% (0.0125) ......................................................
19.
CREDITS
20. Enter amounts paid from 1/1/2012 to 12/31/2012 to each of the following
00
a. Michigan Workers’ Compensation Placement Facility ..............................
20a.
00
b. Michigan Basic Property Insurance Association .......................................
20b.
00
c. Michigan Automobile Insurance Placement Facility .................................
20c.
00
d. Property and Casualty Guaranty Association ...........................................
20d.
00
e. Michigan Life and Health Insurance Guaranty Association ......................
20e.
00
21. Add lines 20a through 20e......................................................................................................................................
21.
00
22. a. Michigan Examination Fees .....................................................................
22a.
00
b. Credit. Multiply line 22a by 50% (0.50) .............................................................................................................. 22b.
00
23. Tax Before Miscellaneous Nonrefundable Credits. Subtract lines 21 and 22b from line 19 .............................
23.
00
24. Miscellaneous Nonrefundable Credits from Form 4596, line 28.............................................................................
24.
00
25. Michigan Business Tax After Nonrefundable Credits. Subtract line 24 from line 23. If less than zero, enter zero ..
25.
00
26. Recapture of Certain Business Tax Credits and Deductions from Form 4587, line 13 ...........................................
26.
00
27. Total Michigan Business Tax. Add lines 25 and 26 ............................................................................................
27.
00
28. Corporate Income Tax Adjustment from Form 4974, line 20 ..................................................................................
28.
00
29. Tax Liability. Add lines 27 and 28 ..........................................................................................................................
29.
Return is due March 1, 2014.
WITHOUT PAYMENT: Mail return to:
WITH PAYMENT: Pay amount on line 58 and mail check and return to:
Michigan Department of Treasury
Michigan Department of Treasury
Make check payable to “State of Michigan.” Print taxpayer’s
PO Box 30783
PO Box 30113
FEIN or TR Number, the tax year, and “MBT” on the front of
Lansing MI 48909
Lansing MI 48909
the check. Do not staple the check to the return.
+
0000 2013 83 01 27 9
Continue and sign on Page 2

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